MS. QUYEN DO PHAN (NPI# 1053624528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053624528 |
| Entity Type | Individual |
| Full Name | MS. QUYEN DO PHAN |
| Credential | PHARM.D. |
| Practice Address |
26520 Cactus Ave Moreno Valley CA 92555-3927 |
| Practice Telephone | 9514864529 |
| Mailing Telephone | 9514864529 |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH 62800 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275073397 | Quyen Phan | Nurse Practitioner | 6107 Oakbrook Pkwy, Norcross, GA 30093-1771 | 2017-03-08 |
| 1952704579 | Quyen Phan | Nurse Practitioner | 6632 S State Route 48, Maineville, OH 45039-9758 | 2014-09-28 |
| 1225101140 | Quyen Ngoc Phan | Registered Nurse | 14120 Beach Blvd Ste 104, Westminster, CA 92683-4454 | 2006-11-16 |
| Street Address |
26520 CACTUS AVE |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92555-3927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477546414 | Menard Barruga | Pediatrics | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2005-08-24 |
| 1942816392 | Sheron Mathew | Physician Assistant | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2020-09-21 |
| 1669086237 | Brittany Noel Speer | Physician Assistant | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2020-09-01 |
| 1548873110 | Garrett Bao Kha Tran Long | Student in an Organized Health Care Education/Training Program | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2020-08-25 |
| 1639782063 | Yinxi Wu | Social Worker | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2020-08-25 |
| 1124636246 | Marie Therese Fonseca | Counselor | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2020-07-15 |
| 1396363545 | Jackson Helms | Student in an Organized Health Care Education/Training Program | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2020-07-13 |
| 1588282024 | Adam Kreutzer | Orthopaedic Surgery | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2020-07-10 |
| 1861010316 | Nicholas Bast | Student in an Organized Health Care Education/Training Program | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2020-07-10 |
| 1699392449 | Xiao Song | Student in an Organized Health Care Education/Training Program | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2020-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817935 | Jillian Mika Ogata | Social Worker | Riverside University Health System, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2020-10-05 |
| 1114549144 | Providence Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 11165 Bonnie View Ave, Moreno Valley, CA 92555 | 2020-05-13 |
| 1720645096 | Shahida Nawaz | Non-emergency Medical Transport (VAN) | 26528 Primrose Way, Moreno Valley, CA 92555 | 2019-05-22 |
| 1679139828 | Moses Lee | Student in an Organized Health Care Education/Training Program | Department of Orthopaedic Surgery Rm. B2042 Ruhs-mc, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2019-05-14 |
| 1215419668 | Johannes Wattimena | Counselor | 26624 Saffron Circle, Moreno Valley, CA 92555 | 2018-09-02 |
| 1437676939 | Aleksandra Vargas | Behavioral Analyst | 12549 Atherton Dr, Moreno Valley, CA 92555 | 2017-08-25 |
| 1063938603 | Anthony I Odimegwu | Nurse Practitioner | 26062 Bercaw Ct, Moreno Valley, CA 92555 | 2017-08-16 |
| 1073036703 | Karen Parker | Licensed Psychiatric Technician | 12944 Dolomite Lane, Moreno Valley, CA 92555 | 2017-07-25 |
| 1861923674 | Elena Vizcaino | Behavior Technician | 15670 Turnberry St, Moreno Valley, CA 92555 | 2017-03-23 |
| 1154744522 | Nancy Chivichon | Dietitian, Registered | 28648 Avenue Ave., Moreno Valley, CA 92555 | 2014-01-21 |
| Find all providers in zip 92555 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386078939 | Nikita G Patel | Pharmacist | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2013-08-29 |
| 1235579095 | Karen Nguyen | Pharmacist | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2013-06-26 |
| 1972894855 | Juliana Oduguwa | Pharmacist | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2011-04-26 |
| 1649578782 | Christina Qi | Pharmacist | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2011-03-13 |
| 1609183821 | Christine Ta | Pharmacist | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2010-09-09 |
| 1053631044 | Olukorede Ajiboye | Pharmacist | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2010-06-02 |
| 1982920492 | Sheri Lynn Handford | Pharmacist | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2010-04-09 |
| 1295059566 | Fang-tzu Hamade | Pharmacist | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2010-03-16 |
| 1457687188 | Samantha Do | Pharmacist | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2009-10-30 |
| 1073742557 | Rose Allaine De Ramos Casado | Pharmacist | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2009-07-06 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92555 |
Please comment or provide details below to improve the information on MS. QUYEN DO PHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.